Learn More
If endocrine ophthalmopathy progresses despite conservative treatment then indications for surgical decompression are: loss of visual acuity, increasing strabism, and severe keratopathy. Endonasal microsurgery ensures a binocular view onto the intranasal landmarks of the orbital walls and allows simultaneous decompression of the medial and inferior wall as(More)
In 35 patients with thyroid-associated orbitopathy, nonresponsive to conservative treatment, an endonasal microscopic approach with bimural osteotomy was performed for decompression in two ways. While in group A the periorbita was resected, and fat septa were cut, in group B periorbital strips were left, and fat septa were respected. In accordance with(More)
Diagnosis of thyroid eye disease can be established by its history, signs, symptoms, clinical and laboratory findings of an autoimmune thyroid disease. Therapy for this disease is limited to a few options, which should be administered depending on its stage and inflammatory activity. When medication and radiation therapy fail indications for decompression(More)
Cerebral side effects of therapy with glucocorticoids include mental alterations and behavioral disturbances such as nervousness, insomnia, changes in mood or psychological state and psychopathies of manic-depressive or schizophrenic type. We have investigated the effects of glucocorticoids, anabolic/androgenic steroids and the 5-alpha-reductase inhibitor(More)
PURPOSE To define the indications and contraindications for balloon dacryocystoplasty. MATERIALS AND METHODS Eighty-five patients with severe epiphora due to partial (n = 47) or complete (n = 38) obstruction of the nasolacrimal duct (NLD) were treated with balloon dacryocystoplasty (DCP). Steerable micro-guide wires with flexible tips were used. Success(More)
Twenty-two patients with severe epiphora due to relative (n = 13) or absolute (n = 9) stenoses of the nasolacrimal duct were treated by means of radiologically guided balloon dacryocystoplasty. The recanalization was performed with a steerable microguide wire with flexible tip, which was advanced through the lacrimal draining system and manipulated out of(More)
PURPOSE This prospective study explores the efficacy of a combined approach by intranasal microsurgical dacryocystorhinostomy and fiberglass endoillumination of the tear passage for difficult cases of lacrimal sac or nasolacrimal duct obstruction. METHODS Microscopic dacryocystorhinostomy was performed in 67 patients with lacrimal obstruction and for(More)
In ten patients with incomplete postsaccal stenosis radiology examined by digital subtraction dacryocystorhinography, an overpressure ballooning was done with a small foot vessel balloon with hydrophilic surface under image intensiver control. The balloon was inflated with a diluted suspension for visualization of the balloon and widening of the stenosis.(More)
In den Jahren 1980 – 1990 wurden 20 Kinder enukleiert und mit einer Nylonplombe (Bangerter) versorgt. Eine Plombe war abgestoßen worden und mußte entfernt werden. Die übrigen Plomben waren reizfrei. Elf Kinder hatten eine gute bis sehr gute Kosmetik. Die Mitbeweglichkeit war bei den kosmetisch unauffälligen Kindern nach nasal bis etwa 20° möglich. In den(More)
Purpose: The aim of the study was to determine the indications and contraindications for balloon dacryocystoplasty. Material and methods: So far, 85 patients with severe epiphora because of relative stenosis (n = 47) or occlusion (n = 38) of the nasolacrimal duct have undergone dilation. The success rates were evaluated during the acute phase and the(More)